[{"data":1,"prerenderedAt":64},["ShallowReactive",2],{"q-nurse-114-3-psychiatric-community-014":3},{"subject":4,"subjectSlug":5,"subjectFullName":4,"question":6,"related":34,"lastmod":63},"精神科與社區衛生護理學","psychiatric-community",{"id":7,"webId":8,"year":9,"session":10,"subject":4,"number":11,"stem":12,"options":13,"answer":18,"answerNote":19,"images":20,"explanation":21,"explanationDeep":22,"topics":23,"freq":26},"nurse-114-3-精神科與社區衛生護理學-014","nurse-114-3-psychiatric-community-014",114,3,14,"有關憂鬱症，下列敘述何者適當？①甲狀腺功能過高 ②症狀持續至少六個月 ③腦中血清素不足 ④女性發生率大於男性",{"A":14,"B":15,"C":16,"D":17},"①②","③④","①③","②④","B",null,[],"本題考點在於憂鬱症的病因與流行病學。依單胺假說,腦中血清素等神經傳導物質不足與憂鬱有關(③正確);流行病學上女性發生率約為男性兩倍(④正確),故選 B(③④)。①錯,憂鬱常與甲狀腺功能『低下』相關,而非功能過高(甲狀腺亢進多表現焦慮躁動);②錯,重鬱症的診斷病程為症狀持續至少兩週,而非六個月。","憂鬱症單胺假說指血清素、正腎上腺素、多巴胺不足,故 SSRI、SNRI 為一線用藥。診斷時間軸易混:重鬱發作≥2 週、持續性憂鬱症(dysthymia)≥2 年、經前情緒障礙隨月經週期。甲狀腺功能低下會偽裝成憂鬱,故評估情緒障礙時常一併檢查甲狀腺功能以排除生理病因。",[24,27,30,32],{"term":25,"count":26},"憂鬱症單胺假說",2,{"term":28,"count":29},"血清素不足",1,{"term":31,"count":29},"女性發生率較高",{"term":33,"count":29},"重鬱症病程兩週",[35,39,44,49,54,59],{"webId":36,"stem":37,"number":38,"year":9,"session":10},"nurse-114-3-psychiatric-community-015","小宣，18 歲，家中發生大火，導致房屋全毀，腿部燒傷約 10%，有強烈的焦慮及憂鬱反應，目前首要的災難危機處置目標，下列何者最適當？",15,{"webId":40,"stem":41,"number":42,"year":43,"session":26},"nurse-115-2-psychiatric-community-011","張先生是一位思覺失調症病人，住院期間常摀著耳朵自言自語說：「有人一直在罵我，叫我去死！」護理師發現他因此情緒顯得很焦慮。下列護理師的處置，何者最適當？",11,115,{"webId":45,"stem":46,"number":47,"year":48,"session":29},"nurse-106-1-psychiatric-community-055","有關世界衛生組織（WHO）的描述，下列何者錯誤？",55,106,{"webId":50,"stem":51,"number":52,"year":53,"session":26},"nurse-107-2-psychiatric-community-013","朱先生，診斷為思覺失調症（schizophrenia），持續服用第二代抗精神病藥物 clozaril （ clozapine）中，護理師給予身體健康狀態評估時，應注意評估該藥物的副作用，下列何項正確？①顆粒性白血球缺乏症 ②低血糖 ③口水分泌過多 ④代謝症候群",13,107,{"webId":55,"stem":56,"number":57,"year":58,"session":29},"nurse-109-1-psychiatric-community-057","有關學童口腔衛生教學活動的情意目標設定，下列何者正確？",57,109,{"webId":60,"stem":61,"number":42,"year":62,"session":26},"nurse-110-2-psychiatric-community-011","護理人員應用行為治療原則於急性病房住院精神疾病病人，下列何者最適當？",110,"2026-09-04",1788510762813]